DEPARTMENT OF INSURANCE

DEPARTMENT OF INSURANCE

Affiliations

Name	Witkowski, Charles E	DOIID	316500	NAIC NPN	7163491

License - Line of Authority Information

Status	Residency	Class	Line of Authority	Active Date	Inactive Date	License Expiration Date
Inactive	Non Resident	Adjuster	Independent	2/1/1996	5/13/2004
Inactive	Resident	Apprentice Adjuster	Not Applicable	7/28/2005	7/28/2006
Inactive	Non Resident	Staff Adjuster	Property & Casualty	3/21/2011	9/4/2014
* If a status Is Pending, Pending Replacement,Or the record displays Affidavit On File, click On them For more details.

Designated to act on behalf of the following Business Entities

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	LM Property and Casualty Insurance Company	301658	Adjuster - Independent	2/1/1996	5/13/2004

Sponsorships

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	Bennett, Vicky N	320982	Apprentice Adjuster - Not Applicable	4/2/1997	3/6/1998
Inactive	Goist, David Joseph	541042	Apprentice Adjuster - Not Applicable	12/13/2001	4/23/2002
Inactive	Grayer, Tina Turie	318706	Apprentice Adjuster - Not Applicable	4/15/1996	4/15/1997
Inactive	Hoerrmann-Martinez, Mary Katheryn	308193	Apprentice Adjuster - Not Applicable	12/13/2001	6/11/2002
Inactive	Leffler, Judith Ann	541039	Apprentice Adjuster - Not Applicable	12/13/2001	4/23/2002
Inactive	Martinez, Juan Barajas	335962	Apprentice Adjuster - Not Applicable	12/13/2001	6/11/2002
Inactive	Morris, James David	535735	Apprentice Adjuster - Not Applicable	3/8/2002	9/20/2002
Inactive	Petras, Jennifer Ann	541045	Apprentice Adjuster - Not Applicable	12/13/2001	6/11/2002
Inactive	Phillips, Steven Michael	541040	Apprentice Adjuster - Not Applicable	12/13/2001	4/23/2002
Inactive	Ross, Rita	541043	Apprentice Adjuster - Not Applicable	12/13/2001	6/11/2002
Inactive	Thiel-Berglund, Ardis Lynette	507023	Apprentice Adjuster - Not Applicable	12/13/2001	6/11/2002

Sponsored By

Status	Affiliation Name	DOI Number	Line of Authority	Active Date	Inactive Date
Inactive	McLaughlin, Sean M	566840	Apprentice Adjuster - Not Applicable	7/28/2005	7/28/2006